Smoking Behaviors Among Adolescents in Foster Care: A Gender-Based Analysis

ABSTRACT

Background and objectives: Adolescents in foster care are at high risk for cigarette smoking. However, it is not clear how their smoking behaviors vary by gender. The present study examined lifetime and current smoking among males and females, and explored gender-specific risk factors for engagement in smoking behaviors. Method: Data from the Multi Site Evaluation of Foster Youth Programs was used to evaluate patterns of smoking among adolescents aged 12–18 years (N = 1121; 489 males, 632 females). Results: Males and females did not differ significantly in rates of lifetime and current smoking, or in the age of smoking initiation and number of cigarettes smoked on a typical day. Gender-based analyses revealed that older age and placement in group homes or residential treatment facilities were associated with heightened risk of smoking among males. In contrast, sexual minority status (i.e., nonheterosexual orientation) and increased childhood victimization were associated with heightened risk of smoking among females. A history of running away was linked to smoking in both genders. Conclusion: Gender should be considered when designing intervention programs to address cigarette smoking among foster youth, as the stressors associated with smoking may differ for males and females.

KEYWORDS:

• Adolescents
• child welfare
• cigarette smoking
• foster care
• gender differences

Acknowledgments

The data used in this publication were made available by the National Data Archive on Child Abuse and Neglect, Cornell University, Ithaca, NY, and have been used with permission. Data from Multi-Site Evaluation of Foster Youth Programs (Chafee Independent Living Evaluation Project), 2001–2010 were originally collected by: Mark E. Courtney; Matthew W. Stagner; and Michael Pergamit. Funding for the project was provided by Office of Planning, Research and Evaluation and the Children's Bureau Administration for Children and Families, U.S. Department of Health and Human Services Washington, D.C. (Award Number(s): 23302–0059). The collector(s) of the original data, the funder(s), NDACAN, Cornell University and their agents or employees bear no responsibility for the analyses or interpretations presented here.

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.

Funding

Scott E. Sherman is supported by a grant from the National Institute on Drug Abuse (#1K24DA038345).